Provider Demographics
NPI:1235115890
Name:SINGH, HARINDERJIT (MD)
Entity type:Individual
Prefix:DR
First Name:HARINDERJIT
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11407
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35246-3035
Mailing Address - Country:US
Mailing Address - Phone:706-650-0061
Mailing Address - Fax:
Practice Address - Street 1:3685 WHEELER RD
Practice Address - Street 2:STE 201
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6446
Practice Address - Country:US
Practice Address - Phone:706-650-0061
Practice Address - Fax:706-650-0064
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA026652207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCG26652Medicaid
GA000293719AMedicaid
GA000293719AMedicaid
GAE58621Medicare UPIN
GA$$$$$$$$$AMedicare PIN